Customer Satisfaction Form
Download the PDF version of "Customer Satisfaction Form" (602 KB).
We would like to know about your National Recovery Month (Recovery Month) efforts this September and how useful you found this toolkit for planning your activities. This information will be used in the development of future outreach materials distributed by the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT).
Your response is voluntary, but your input is essential so that the Recovery Month materials we provide in future years will continue to meet your needs. We encourage you to include photographs and/or samples of supporting materials from your Recovery Month activities.
* indicates a required field.